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999 <br />ANNUAL REPORT <br />PERMITTEE NAME: Penn Mountain Mining, Inc. <br />PERMIT NO.: M-1985-022 <br />OPERATION NAME: Bullger Basin Placer <br />ANNIVERSARY DATE: May 23, 2000 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Park <br />P~1~1 <br />DECEIVE[ <br />r~aY ~o s 2rtoo <br />~Jivision of Mhtepll;~Geuiogl• <br />According to C.R.S. 34-32-116(3)(a), each year, on the anniversary date of the pe~(nit, an <br />operator shall submit [he annual fee, a report and map showing [he extent of curve t disturbances <br />to affected land, reclamation accomplished to date and during the preceding year, hew <br />disturbances that are anticipated to occur during the upcoming year, reclamation that will be <br />performed during the coming year, the dates for the beginning of active operation, and the date <br />active operations ceased for the year, if any. <br />Please note that cur adequately labeled reap that c[eur(y delineates and inclerdes the above <br />elements may suffice fora \vritten report. <br />Please type or print the current contact person's name, mailing address, and phone number in the <br />space provided: <br />Contact Na/me: Jo 1~A~ 1! • ~ YOW N/~G <br />Address: (~~~~'~ SaLL'~. l~}.S5 ~'A~'} <br />G4de~, , l~tn.l~ c5~~a3 <br />Company: /vl ~ • /N/Ny -+ ~G <br />Phone No.: <br />If there are additional comments and/or information that should be provided to they, Division. <br />please provide i[ on a separate sheet and attach it to [his report form along with yod~r map and/or <br />written report. <br />Signa[u of Corporate Officer, or Own Date <br />INSTRUCT/ONS ON BACK <br />A7:~PERA71TV.1ASTERD000h1ENTS/A1 AF 02.DOC <br />